Autor: |
Graham Skalley, John Denny, Eve Allen, Shwetha Rao |
Jazyk: |
angličtina |
Rok vydání: |
2018 |
Předmět: |
|
Zdroj: |
BMJ Open Quality, Vol 7, Iss 3 (2018) |
Druh dokumentu: |
article |
ISSN: |
2399-6641 |
DOI: |
10.1136/bmjoq-2018-000330 |
Popis: |
Hyperemesis gravidarum is a common condition characterised by severe nausea and vomiting. The referral process from the emergency department (ED) to obstetrics and gynaecology (O&G) can lead to treatment delays before the gynaecology team review the patient, resulting in unnecessary prolonged inpatient stays in O&G. This quality improvement project created a clinical pathway which optimised care of patients presenting with hyperemesis gravidarum in the ED at the Princess Royal University Hospital using a treatment protocol. Two audits were carried out to assess improvements in patient care and reduction in admissions to O&G. Overall, admissions to O&G were reduced by 68.7% (cycle 1) and 70.5% (cycle 2) compared with admission rates before the proforma, saving the trust an estimated £265 700 and 235 bed days over a year. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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